Procedures Test 2- spine procedures Flashcards Preview

spring 2015 > Procedures Test 2- spine procedures > Flashcards

Flashcards in Procedures Test 2- spine procedures Deck (74)
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0

What 2 joints will be open on a Lateral C-spine?

Zygapophyseal and intervertebral disk spaces

1

What is the SID for the lateral and oblique C-Spine? Why?

72 inches to compensate for increased OID

2

When do you do a swimmers projection?

When C7/T1 is NOT well demonstrated on a lateral c-spine

3

Before doing lateral hyperflexion/hyperextension C-spine what must be ruled out?

Fractures and pathology

4

Hyperflexion and hyperextension C-spine views are used to demonstrate what?

Used to demonstrate absence of normal movement from trauma or disease and range of motion

5

What type of breathing is used for the swimmers method?

Breathing technique or suspend

6

What will you have the patient do during the odontoid projection to get the tounge out of the way?

Have the patient say "ah"

7

If the dens is not well demonstrated on the open mouth projection what view can be done to better show the dens?(2 answers)

AP and PA dens
AP Fuchs
PA Judd

8

When doing the Judd method of the Dens if the OML should be how many degrees to the plane of the IR?

37 degrees

9

AP axial oblique projections of the C-spine demonstrate which intervertebral foramen?

Side away

10

PA axial oblique projections of the c-spine which intervertebral foramina are demonstrated?

Side closest

11

When doing the cervical spine obliques how much is the patient rotated?

45 degrees

12

The lateral t spine best demonstrates what?

Intervertebral disc spaces and intervertebral foramina

T3 and L1

13

What is the best type of respiration used for the spine images?

Breathing technique or suspend

14

The lateral C spine shows what in profile?

Spinous processes, intervertebral discs, vertebral bodies, and zygapophyseal

15

How many vertebra should you see on the AP axial c spine image?

C3-T1

16

What intervertebral disc space should be seen on the swimmers?

C7-T1

17

What joint do you see on the AP open mouth odontoid?

Atlantoaxial

18

You will see the dens inside the foramen magnum on which projections? (2 answers)

Fuchs and Judd

19

What two pieces of anatomy are you going to line up and make perpendicular to the IR when doing an open mouth odontoid?

Tip of upper incisors and mastoid tip

20

Where will the CR enter for C spine projections?

C4

21

What is the tube angle for the AP axial c spine?

15-20 cephalic

22

What is the tube angle for the AP oblique c spine? ( RPO/LPO)

15-20 cephalic

23

What is the tube angle for the PA oblique c spine? (RAO/LAO)

15-20 caudal

24

What is the tube angle for the swimmers method?

3-5 caudal

25

Where will the CR enter for the swimmers method?

C7-T1 interspace

26

Where does the CR better for the patient for the Fuchs method?

MSP- distal to chin tip

27

Where does the CR enter the patient for the Judd method?

MSP- distal to level of mastoid tips

28

Where does the CR enter the patient for the open mouth odontoid?

Midpoint of the open mouth

29

By instructing the patient to open their mouth for the AP open mouth odontoid what anatomy are you getting out of the way?

Tounge and teeth

30

Obliques of the c-spine (know how to determine what oblique you are looking at based off of the image)

Uses markers. If bodies are between it and the foramina

31

Where does the CR enter for the T spine projections?

T7

32

How many vertebra will you see?

All 12 vertebra

33

Why is it important to have the patient flex their hips and knees when doing the AP lumbar spine?

Reduces lordotic curve. Places lower back closer to the table reducing OID

34

What's the position for swimmers?

One closest to IR arm is up, arm is down furthest from IR

35

Which view of the L spine demonstrates the intervertebral foramina?

Lateral L spine

36

Which obliques demonstrate the RIGHT zygapophyseal joints in the lumbar spine?

RPO and LAO

37

Which obliques demonstrate the LEFT zygapophyseal joints in the lumbar spine?

RAO & LPO

38

How much do you rotate the patient when doing oblique L-spine projections?

45 degrees

39

Know the Scotty dog

Ear- superior articular process
Nose-transverse process
Eye- pedicle
Neck- pars interactalis
Body-lamina
Leg-inferior articular process

40

The RPO of the SI joints demonstrates the joint _____ from the IR.

Farthest/away

41

So RPO SI joints demonstrates

Left

42

The LPO SI joint demonstrates

Right

43

The RAO/LAO of the SI joints demonstrates the joint ____ to the IR

Closest

44

How much do you rotate the patient when doing oblique SI joints?

25-30

45

When doing the lateral sacrum what plane needs to be perpendicular to the IR?

Inter iliac plane or line

46

Be Able to describe how to do both images of the scoliosis PA AP Ferguson

First image 1 inch above the crest MSP to midline of grid, arms abducted.
Second image- same position but this time elevate the patients hip on the side of primary curve approximately three or four more inches

47

The lateral L spine flexion and extension is used to demonstrate what?

Spinal fusion or disc hernination

48

The lateral l spine flexion and extension positions

1st image- fetal position flexing spine as much as possible
2nd image- arch posterior extending their spine

49

CR of lateral L spine flexion and extension

Spinal fusion or L3-crest

50

The right and left bending L spine projections are used to determine or localize what?

Early scoliosis to determine structural change. Localize herniated disc and determine if there is motion in the region of spinal fusion

51

CR of right and left bending L spine projections

1-1 1/2 above iliac crest L3 MSP

52

Right and left bending L spine projections positions

Bend as much as possible to whatever side and cross opposite leg do not rotate pelvis

53

If the spine is not horizontal to the table for the lateral L spine what positioning tool might you use to adjust this?

Sponge or other radiolucent support

54

Why is it good to put a small piece of lead behind the patient when doing lateral images of the spine?

Reduce scatter

55

Angle for male L5-s1

5 caudal

56

Angle for female L5-S1

8 caudal

57

Which projection will demonstrate the L5-S1 joint open in an AP L spine? What else does this projection demonstrate?

Ferguson method/ AP axial L5-S1

Both SI joints

58

Where does the CR enter the patient for an AP L-spine?

More sacrum- L4 crest MSP

Less sacrum 1 1/2 inches above crest (L3) MSP

59

Where does the CR enter for the lateral L-spine?

MCP at crests (L4)

60

What is the CR for the lateral L5-S1 spot?

1 1/2 inches below the iliac crest and 2 inches posterior the coronal plane at level of ASIS

61

What is the CR for AP oblique L spines?

RPO/LPO 1 1/2 inches above crest(L3) and 2 inches medial to ASIS

62

What is the CR for PA obliques L spine?

RAO/LAO 1- 1 1/2 inches above iliac crest and enters elevated side approximately 2 inches to lateral spinous process

63

How much do you angle for the AP Axial L5-S1 joints?

30-35 more on females less on males

64

What is the CR for AP axial L5-S1 joints?

1 1/2 inches above pubic symphysis MSP

65

What is the CR for oblique SI joints?

1 inch medial to elevated ASIS

66

What does the lateral L spine shows in profile?

Vertebral bodies, spinous process, intervertebral disc spaces, intervertebral foramina in profile

67

What is the angle for AP sacrum?

15 cephalic

68

What is the angle for AP coccyx?

10 caudal

69

What is the CR for AP sacrum?

2 inches superior to pubic symphysis MSP

70

What is the CR for AP coccyx?

2 inches superior to Punic symphysis MSP

71

What is the CR for lateral sacrum?

Level of ASIS and to a point 3 1/2 inches posterior

72

What is the CR for the lateral coccyx?

2 inches distal ASIS to a point 3 1/2 inches posterior

73

Go over PT positions

Fuchs and Judd for sure